Walgreen Co
Pharmacy in Smyrna, GA. Organization (NPI-2).
NPI number1982128468
StatusActive
Last updated in NPPESApr 30, 2018
Details
- NPI
- 1982128468
- Entity type
- Organization (NPI-2)
- Legal business name
- Walgreen Co
- Organization subpart
- Yes
- Enumeration date
- Jul 27, 2017
- Last updated
- Apr 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHRE010524 | GA | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid #11725 (Doing Business As)
Practice location
2113 S Cobb Dr SeSmyrna, GA 30080-1347
Phone 770-435-2544 · Fax 770-437-9974
Mailing address
1901 E Voorhees St # Ms 790Danville, IL 61834-4509
Phone 217-709-2386 · Fax 217-709-2344
Authorized official
Alyssa Sweeten
Manager
2177092386
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All 8 Pharmacy providers in Smyrna · All 1,864 providers in Smyrna
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